Part 1. PREPARE in LAB

First, read over this document.

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Part 2. VIRTUAL PILOT ASSESSMENT in LAB

Second, talk through the  Anthropometry Data Collection form on iLearn.  Imagine each assessment and review the appropriate methods learned in the lecture, readings, and self-study of the Week 13 slides. Fill in the right column of Anthropometry Data Collection form with personalized notes to assist with your future assessment that will occur outside of lab.

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Part 3. SET UP AND DATA COLLECTION with household member, friend, family out of Lab

Collect anthropometrical data using your Anthropometry Data Collection form.

Materials needed:

• Tape measure
• Ruler
• Bathroom scale
• Masking tape
• Chair or stepping stool
• Paper print-out of Anthropometry Data Collection or a device to type on
• Pen
• Cell phone to take photos of your height and weight stations. Please no images of people.

SET UP DIRECTIONS

Body size

1. Height – using a tape measure, find a wall in your home to create a ‘field’ stadiometer.
   1. What is this?  This is when you do not have a stadiometer, but you create one using measurement tools.  In general, sewing tape measures are 60 inches (152.4 cm or 5 feet). Tape measures for construction are usually 50 feet. A ruler is 12 inches (30.48 cm).  Please create a wall stadiometer. You will need to use a chair. 
   1. How? Measure up to 12 inches from the ground. Mark the 12 inches (30.48 cm) point with a piece of tape. Then, tape your actual measure tape from this 12 inch (30.48 cm) starting point, vertically going up your wall. Tape the other end of the tape at the top. This will create a 72 inch (182.88 cm) “field” stadiometer. While not 100% accurate, it can work as a substitute when in the field if without a stadiometer.
   1. FYI Make sure to take a photo of this for your lab submission.
   1. Troubleshooting
      1. What if my participant is taller than 72 inch (182.88 cm)? You will use the ruler to collect the inches higher than 72 inch (182.88 cm).
2. Arm span – take note to have tape ready for the arm span measure.
3. Weight – using a bathroom scale, find a hard surface to create a measuring station. Remember, weight is ONE measure and does not tell the clinician or patient about health.  Weight does not tell us about happiness, trauma, diet, biochemical values, access to food… therefore explain that this measure is part a group of many variables that can support an understanding of health and well-being. 
   1. Set up using a digital scale – Digital can provide a false sense of accuracy and precision. Before your participant is present, use a weight of 5 pounds or more to check the scale.  You could use a hand weight in your home OR even a 5- pound bag of flour from your cupboard. Repeat three times to check for validity.
   1. Set up using a dial scale – accuracy and precision can be a concern here. Before your participant is present, use a weight of 5 pounds or more to check the scale.  You could use a hand weight in your home OR even a 5- pound bag of flour from your cupboard. Repeat three time to check for validity.
   1. FYI Make sure to take a photo of this for your lab submission.

Body composition

1. Waist circumference

*For this measurement a tape measure is essential. If you do not have a tape measure, please use the sample values on the form for the calculation questions.  If you have a tape measure, please remove the measure from the wall and conduct the repeated measures as indicated from your personalized notes on the Anthropometry Data Collection form.

PROCEDURE DIRECTIONS FOR DATA COLLECTION

Body size and body composition measures – please follow your personalized notes on the Anthropometry Data Collection form that you completed in Part 2. *If you live alone, is there that you could conduct this on?

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Part 4. ASSESSMENT out of Lab

1. Infant: 
   1. Plot the child measures using the appropriate forms here and the raw data provide on your Anthropometry Data Collection https://www.cdc.gov/growthcharts/who_charts.htm#The%20WHO%20Growth%20Charts
      1. weight for length
      1. length for age, weight for age
      1. note the percentiles for these values using the provided sex and age for the child using the links below.
      1. We will note plot head circumference.
      1. Tips: ounce / 35.274 = kg
   1. Is the child at nutrition risk? Why? Using your plots explain your reasoning. Would your assessment have been different with only the 2-week values? 6-week values? Why do we always need multiple time points?
2. Adult
   1. Calculation
      1. Calculate desired weight with Hamwii
      1. Calculate percent desired weight
      1. Calculate body mass index [wt / (ht)²] and note category
      1. Calculate your waist to hip ratio
   1. Height. Compare height measurement to arm span. Are they the same? Is the arm span accurate? When would a clinician use the arm span instead of a standing height measurement?
   1. Weight. Looking at the percent ‘desired’ Hamwii, take into account that a range is normal.  About 10% above or below the Hamwii is consider no risk.  If this person was greater than that range, what other information should be collected before determining this value a risk?
   1. Mass. Looking at the calculated BMI, waist circumference, and waist to hip ratio, what association might exist regarding adipose location?  What other information should be collected before determining these values a risk?

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Part 5. DEBRIEF out of Lab

Respond with one to two paragraphs for thequestion below.

1. Discuss your review and practice of plotting measures of a child.

• What challenges did you experience?
• What questions do you still have?

2. Discuss your experience collecting the anthropometrical measures in terms of self-confidence and patient interaction.

• Were your measurements within range for two measurements or was a third collected?  If more than three were collected and still not in range, what could this mean in terms of validity and/or reliability of tool or human measurer?
• How did it feel conducting the measurements? Did you consider your skills related to empathy and communication during these measures?
• What could be done to ensure this experience was physically and mentally comfortable and professional?

What is submitted?

1. Part 4 and 5 write ups (25 points)

2. Completed Anthropometry Data Collection (10 points)

3. Photograph of your measuring station (5 points)

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